62 19 75 21 1332 REV L1 16 79
76 20 80 21 DATE
5 20 16 22 ☐ PURCHASING
33 20 55 22 PURCHASE REQUISITION
77 21 91 23 March 27, 1984
5 22 17 23 ☐ STATIONARY
22 22 70 24 PLEASE INCLUDE ONLY ONE TYPE OF MATERIAL ON THIS REQUISITION
25 24 54 25 FOR PURCHASING DEPARTMENT USE ONLY
76 24 83 25 ORDER NO.
2 24 8 25 VENDOR
4 25 72 27 Borriston Laboratories, INC. , 5050 Beech Place Temple Hills, MD 20748
76 27 95 28 Prev. or Recommended SupplIer
3 27 5 28 -
57 28 60 29 N /A
20 28 22 30 15
36 28 39 29 N /A
15 28 18 30 NET
27 28 31 30 F. O. B.
49 28 52 30 VIA
6 28 11 30 TERMS
66 30 76 31 DATE WANTED
3 30 19 31 SHIP TO (DEPT- BRANCH)
40 31 56 33 Dr. Connie Stone
2 31 30 33 - Lorillard Research Center
70 31 82 33 As required
34 31 39 33 Attn:
2 34 44 36 - 420 English Street Greensboro, NC 27405
48 37 57 38 DESCRIPTION
85 37 89 38 UNIT
89 37 93 38 PRICE
18 37 23 38 CODE
4 37 11 38 QUANTITY
15 40 94 56 This is your authorization to perform the "Acute Oral Toxicity Study in the Rat" tests on materials D13 and D23 supplied by Lorillard. The fixed price for each test is $2050 for each material, for a total price of $4100. Studies are to be conducted in accordance with the October 17, 1980 formal agreement between Borriston and Lorillard. All work is to be coordinated with our Dr. Connie Stone (919) 373- 6663.
74 83 87 85 00920222
77 87 85 88 ISSUED BY
44 87 56 88 REQUISITION NO.
12 87 25 89 FOLLOW UP DATE
39 92 46 94 ACCT. NO.
54 92 61 94 DEPT. NO.
76 92 87 94 APPROVED BY
14 92 23 94 BUDGET NO.
68 94 97 98 
40 95 44 96 4111
58 95 62 96 9590
